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Kay Sheppard presents a
Weekend Retreat
in Blackwood, New Jersey


Stabilize! Recharge! Renew! Refresh! Prevent Relapse!

November 19-22,  2010

Meeting Friday evening after dinner
Adjourning after lunch on Monday

Registration -- $500 Before October 19, 2010
$550 after October 19, 2010

St Pius X Retreat Center
1840 Peter Cheeseman Road
Blackwood NJ 08012
856-227-1436

For workshop information call Kay at 321-727-8040

Notes: Time arrival for 3 p.m. or later. Dinner is on your own Friday evening. A group of us often meet at Charlie Brown's to have dinner together. Metabolic will be served Friday night. If you have allergies or other special food requirements we may not be able to accommodate you although some substitutions can be arranged. Our menu conforms to clean abstinence. Flying into the Philadelphia airport? Take the Rapid Rover Shuttle to the center

You may pay now with your credit card, or print this page and mail the form below to Kay.

To register now and pay by credit card, enter your name and phone number (for contact purposes)  in the boxes below then click the "Pay Now" button. Payment will be made through PayPal, Inc. We heartily endorse this service. (You do not have to join PayPal to use your credit card.)

 
Name:
Phone Number:

To register and pay by mail, print this page, fill out the form, and mail along with your payment to: 
Kay Sheppard LMHC, 1595 Breese St NE, Palm Bay, FL 32905

Name__________________________________________________
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Cancellations, Substitutions, Refunds Payment of fees for any program entails reserving and guaranteeing your place. Substitutions are allowed with notification. Late cancellations, four weeks prior to any event, are not eligible for refunds. Refunds will be made in the event that any program is cancelled by Kay Sheppard Inc

Contact Kay at kshepp825@aol.com